在危机期间,道德观是否会改变? 一个关于医疗保健优先级设置的实验
Liam Strand1, Erik Gustavsson1,2, Gustav Tinghög1,3
1Swedish National Centre for Priorities in Health, Department of Health, Medicine, and Caring Sciences, Linköping University, Sweden.
概括
在危机期间,公众对医疗保健伦理原则的支持是稳定的. 如何陈述原则 - - 抽象或具体 - - 在塑造道德观念方面,比危机背景本身更重要.
科学领域:
- 医学伦理 医学伦理
- 公共卫生政策 公共卫生政策
- 行为经济学是一种行为经济学.
背景情况:
- 流行病等危机中的资源短缺凸显了医疗决策的效率.
- 不确定性存在于危机影响是否源于稀缺经验或原则制定.
研究的目的:
- 调查危机对公众支持医疗保健优先设定原则的影响.
- 确定抽象与具体的原则制定是否影响支持.
主要方法:
- 在线实验与1,404名参与者.
- 检查了对人类尊严,需求团结和成本效益原则的态度.
- 在危机和非危机背景下操纵的抽象与具体原则演示.
主要成果:
- 危机环境的影响很小;主要排名保持稳定.
- 抽象程度的影响比危机背景的影响更大.
- 对需求-团结的支持在抽象上增加;成本效益在具体上增加.
结论:
- 在危机期间,公众对医疗保健优先级设置的道德观点相对稳定.
- 原则的制定 (抽象/具体) 是支持转移的强大驱动力,而不是危机背景本身.
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